In:
Pediatric and Developmental Pathology, SAGE Publications, Vol. 13, No. 5 ( 2010-09), p. 404-407
Abstract:
A giant umbilical cord is a rare finding in mature newborns and originates from different developmental etiologies. We report on a case of a mature female newborn presenting a 50 × 8–cm giant umbilical cord without further malformations. Antenatal sonographic findings of a diffuse giant umbilical cord, elevated creatinine levels of 1.3 mg/dL in umbilical cord edema, gross and histopathological findings of allantoic remnants, and umbilical urinary discharge lead to the diagnosis of a patent urachus with retrograde micturition into the umbilical cord. Postnatal surgical repair was required. In antenatal sonography, cystic and diffuse changes should be considered in the differential diagnosis of a giant umbilical cord. In cases of diffuse enlargement, elevated umbilical creatinine can support the diagnosis of a patent urachus with open leakage into the Wharton's jelly. Appropriate surgical management is required.
Type of Medium:
Online Resource
ISSN:
1093-5266
,
1615-5742
DOI:
10.2350/09-10-0731-CR.1
Language:
English
Publisher:
SAGE Publications
Publication Date:
2010
detail.hit.zdb_id:
1480654-X
